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Lifestyle and risk factor management in people at high risk of cardiovascular disease : a report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV cross-sectional survey in 14 European regions

Kornelia Kotseva, Dirk De Bacquer UGent, Gui De Backer UGent, Lars Rydén, Catriona Jennings, Viveca Gyberg, Ana Abreu, Carlos Aguiar, Almudena C Conde, Kairat Davletov, et al. (2016) EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY. 23(18). p.2007-2018
abstract
Background: European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV in primary care was a cross-sectional survey carried out by the European Society of Cardiology, EURObservational Research Programme in 2014-2015 in 71 centres from 14 European countries. The main objective was to determine whether the 2012 Joint European Societies' guidelines on cardiovascular disease (CVD) prevention in people at high CVD risk have been followed in clinical practice. Methods: Patients without a history of atherosclerotic disease started on either blood pressure and/or lipid and/or glucose-lowering treatments were identified and interviewed at least six months after the start of medication. Results: Medical notes of 6700 patients were reviewed, and 4579 patients (58.7% women; mean age 58.8 (standard deviation (SD) 11.3) years) interviewed (interview rate 68.3%). Overall, 16.6% were smokers, 39.9% were overweight (body mass index (BMI)25 and <30kg/m(2)), 43.5% obese (BMI 30kg/m(2)) and 63.9% centrally obese (waist circumference of 88cm for women, 102cm for men). The medical risk factor control was very poor, with less than half (42.8%) of the patients on blood pressure lowering medication reaching the target of <140/90mm Hg (<140/80mm Hg in people with self-reported diabetes). Among treated dyslipidaemic patients only 32.7% attained the low-density lipoprotein (LDL)-cholesterol target of <2.5mmol/l. Among people treated for type 2 diabetes mellitus, 58.5% achieved the glycated haemoglobin (HbA1c) target of <7.0%. Conclusion: The EUROASPIRE IV survey shows that large proportions of patients at high CVD risk have unhealthy lifestyle habits and uncontrolled blood pressure, lipids and diabetes. The present data make it clear that more efforts must be taken to improve cardiovascular prevention in people at high CVD risk.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
NUTRITION EXAMINATION SURVEY, CORONARY-HEART-DISEASE, DENSITY-LIPOPROTEIN CHOLESTEROL, CLINICAL-PRACTICE, NATIONAL-HEALTH, UNITED-STATES, TASK-FORCE, US ADULTS, COUNTRIES, HYPERTENSION, EUROASPIRE, primary prevention, cardiovascular risk factors, guideline, implementation
journal title
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
Eur. J. Prev. Cardiol.
volume
23
issue
18
pages
2007 - 2018
Web of Science type
Article
Web of Science id
000387686800009
JCR category
CARDIAC & CARDIOVASCULAR SYSTEMS
JCR impact factor
3.606 (2016)
JCR rank
43/126 (2016)
JCR quartile
2 (2016)
ISSN
2047-4873
2047-4881
DOI
10.1177/2047487316667784
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8510556
handle
http://hdl.handle.net/1854/LU-8510556
date created
2017-02-21 10:35:46
date last changed
2017-03-07 14:03:34
@article{8510556,
  abstract     = {Background: European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV in primary care was a cross-sectional survey carried out by the European Society of Cardiology, EURObservational Research Programme in 2014-2015 in 71 centres from 14 European countries. The main objective was to determine whether the 2012 Joint European Societies' guidelines on cardiovascular disease (CVD) prevention in people at high CVD risk have been followed in clinical practice. 
Methods: Patients without a history of atherosclerotic disease started on either blood pressure and/or lipid and/or glucose-lowering treatments were identified and interviewed at least six months after the start of medication. 
Results: Medical notes of 6700 patients were reviewed, and 4579 patients (58.7\% women; mean age 58.8 (standard deviation (SD) 11.3) years) interviewed (interview rate 68.3\%). Overall, 16.6\% were smokers, 39.9\% were overweight (body mass index (BMI)25 and {\textlangle}30kg/m(2)), 43.5\% obese (BMI 30kg/m(2)) and 63.9\% centrally obese (waist circumference of 88cm for women, 102cm for men). The medical risk factor control was very poor, with less than half (42.8\%) of the patients on blood pressure lowering medication reaching the target of {\textlangle}140/90mm Hg ({\textlangle}140/80mm Hg in people with self-reported diabetes). Among treated dyslipidaemic patients only 32.7\% attained the low-density lipoprotein (LDL)-cholesterol target of {\textlangle}2.5mmol/l. Among people treated for type 2 diabetes mellitus, 58.5\% achieved the glycated haemoglobin (HbA1c) target of {\textlangle}7.0\%. 
Conclusion: The EUROASPIRE IV survey shows that large proportions of patients at high CVD risk have unhealthy lifestyle habits and uncontrolled blood pressure, lipids and diabetes. The present data make it clear that more efforts must be taken to improve cardiovascular prevention in people at high CVD risk.},
  author       = {Kotseva, Kornelia and De Bacquer, Dirk and De Backer, Gui and Ryd{\'e}n, Lars and Jennings, Catriona and Gyberg, Viveca and Abreu, Ana and Aguiar, Carlos and Conde, Almudena C and Davletov, Kairat and Dilic, Mirza and Dolzhenko, Maryna and Gaita, Dan and Georgiev, Borislav and Gotcheva, Nina and Lalic, Nebojsa and Laucevicius, Aleksandras and Lovic, Dragan and Mancas, Silvia and Mili\v{c}i\'{c}, Davor and Oganov, Raphael and Pajak, Andrzej and Pogosova, Nana and Reiner, \v{Z}eljko and Vulic, Dusko and Wood, David},
  issn         = {2047-4873},
  journal      = {EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY},
  keyword      = {NUTRITION EXAMINATION SURVEY,CORONARY-HEART-DISEASE,DENSITY-LIPOPROTEIN CHOLESTEROL,CLINICAL-PRACTICE,NATIONAL-HEALTH,UNITED-STATES,TASK-FORCE,US ADULTS,COUNTRIES,HYPERTENSION,EUROASPIRE,primary prevention,cardiovascular risk factors,guideline,implementation},
  language     = {eng},
  number       = {18},
  pages        = {2007--2018},
  title        = {Lifestyle and risk factor management in people at high risk of cardiovascular disease : a report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV cross-sectional survey in 14 European regions},
  url          = {http://dx.doi.org/10.1177/2047487316667784},
  volume       = {23},
  year         = {2016},
}

Chicago
Kotseva, Kornelia, Dirk De Bacquer, Gui De Backer, Lars Rydén, Catriona Jennings, Viveca Gyberg, Ana Abreu, et al. 2016. “Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease : a Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-sectional Survey in 14 European Regions.” European Journal of Preventive Cardiology 23 (18): 2007–2018.
APA
Kotseva, Kornelia, De Bacquer, D., De Backer, G., Rydén, L., Jennings, C., Gyberg, V., Abreu, A., et al. (2016). Lifestyle and risk factor management in people at high risk of cardiovascular disease : a report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV cross-sectional survey in 14 European regions. EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 23(18), 2007–2018.
Vancouver
1.
Kotseva K, De Bacquer D, De Backer G, Rydén L, Jennings C, Gyberg V, et al. Lifestyle and risk factor management in people at high risk of cardiovascular disease : a report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV cross-sectional survey in 14 European regions. EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY. 2016;23(18):2007–18.
MLA
Kotseva, Kornelia, Dirk De Bacquer, Gui De Backer, et al. “Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease : a Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-sectional Survey in 14 European Regions.” EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY 23.18 (2016): 2007–2018. Print.